{"id":4386,"date":"2024-12-12T16:33:20","date_gmt":"2024-12-12T15:33:20","guid":{"rendered":"https:\/\/www.peyrat-urologie.fr\/expertise\/endoscopic-vaginal-surgery\/"},"modified":"2026-02-02T20:25:03","modified_gmt":"2026-02-02T19:25:03","slug":"endoscopic-vaginal-surgery","status":"publish","type":"page","link":"https:\/\/www.peyrat-urologie.fr\/en\/expertise\/endoscopic-vaginal-surgery\/","title":{"rendered":"Endoscopic vaginal surgery"},"content":{"rendered":"\t\t
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Endoscopic vaginal surgery<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHome \/ <\/a>Endoscopic vaginal surgery\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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When should endoscopic surgery be considered?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Endoscopic vaginal surgery<\/strong> is a group of procedures performed without skin incision<\/strong>, using an endoscope<\/strong> to pass through the natural tract (urethra, vagina).
This minimally invasive approach can effectively treat a wide range of urological pathologies, often with simpler post-operative procedures and faster recovery.<\/p>

The endoscopic approach is preferred for treating a number of urinary tract disorders, including :<\/p>

\u2714 Urinary lithiasis<\/strong> (bladder or ureter stones),<\/p>

\u2714 Bladder tumors<\/strong> (superficial lesions),<\/p>

\u2714 Urethral strictures<\/strong> (urethral stenosis),<\/p>

\u2714 Hematuria of undetermined origin<\/strong> (exploration),<\/p>

\u2714 Painful bladder syndrome<\/strong> (hydro-dystension),<\/p>

\u2714 Urinary incontinence<\/strong> (submucosal injection),<\/p>

\u2714<\/strong> Diagnostic bladder<\/strong> or urethral biopsies<\/strong>.<\/p>

This approach allows complete exploration of the urethra and bladder<\/strong>, and in some cases, immediate intervention<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The different types of intervention<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Diagnostic cystoscopy vs. Other treatments<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Diagnostic cystoscopy\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\ud83d\udd39 Direct visualization of the urethra and bladder using a rigid or flexible endoscope.
\n\ud83d\udd39 Performed under local or general anesthesia.\n
\ud83d\udd39 Used to diagnose tumors, inflammation, anatomical abnormalities or lesions related to a neurological or painful bladder.
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Transurethral resection of bladder tumor (TURBT)\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39Treatment of superficial bladder tumors.\n
\ud83d\udd39Ablation of the tumor via an electric loop.
\n\ud83d\udd39Anatomopathological analysis essential to guide subsequent treatment.\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Endoscopic stone treatment (lithotripsy)\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\ud83d\udd39 Fragmentation and extraction of bladder or ureter stones.
\n\ud83d\udd39 Use of laser (holmium) or ultrasound.
\n\ud83d\udd39 Avoids incisions and promotes rapid recovery.\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Bladder hydro-dystension\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\ud83d\udd39Technique used for certain forms of painful bladder (interstitial cystitis).
\n\ud83d\udd39Controlled bladder distension under anesthesia.
\n\ud83d\udd39An analgesic effect and improved urinary comfort in some cases.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Urethral stricture incision\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\ud83d\udd39 In cases of urethral stricture, which can lead to micturition disorders.
\n\ud83d\udd39 Incision under visual control, sometimes with placement of a temporary catheter.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Submucosal injections\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\ud83d\udd39Injections of specific substances (hyaluronic acid, botulinum toxin) into the bladder or urethral wall.\n\n
\ud83d\udd39 Indicated in cases of urinary incontinence, neurological bladder or resistant overactive bladder.\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Procedure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tEndoscopic bladder surgery for women<\/b>\n\nThis is a minimally invasive outpatient procedure performed under local, locoregional or general anesthesia, depending on the procedure to be performed.\n\nPrinciple:<\/b> exploration and treatment of bladder lesions by natural means, without external incision, thanks to an endoscope introduced through the urethra.\n\n
\n\nSurgical procedure: modalities<\/b>\n\nDuration<\/strong> : from a few minutes to about an hour\nHospitalization<\/strong> : outpatient (same-day discharge)\nAccess route<\/strong> : natural, without external scarring\nUrinary catheterization<\/strong> : sometimes necessary a few hours after the procedure\n\n
\n\nPost-operative care<\/b>\n\n\u2022 Moderate burning during urination in the days following the procedure\n \u2022 Small amounts of blood in the urine (hematuria)\n \u2022 Low but monitored risk of urinary tract infection\n \u2022 Rapid resumption of daily activities in the majority of cases\n\nSpecific instructions will be given by Dr. Peyrat to promote optimal recovery: stay well hydrated, avoid exertion, and wait before resuming sexual relations.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The expertise of Dr Peyrat Laurence<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Why consult Dr Laurence Peyrat?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Recognized expertise in urological endoscopic surgery for both men and women,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Mastery of the latest minimally invasive techniques (laser, flexible endoscopes),\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Personalized care focused on patient comfort,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714Rigorous post-operative follow-up with evaluation of medium- and long-term results,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Collaboration with a specialized paramedical team (nurses, physiotherapists, pain centers).\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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About us<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Opt for endoscopic surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Endoscopic surgery via the lower route is preferred for treating several conditions of the urinary system, particularly in cases of painful bladder<\/strong> .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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A first step towards an effective solution<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Make an appointment today to benefit from attentive listening and support tailored to your situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tConsultation appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tSurgery appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

When should endoscopic surgery be considered? Endoscopic vaginal surgery is a group of procedures performed without skin incision, using an endoscope to pass through the natural tract (urethra, vagina). This minimally invasive approach can effectively treat a wide range of urological pathologies, often with simpler post-operative procedures and faster recovery. The endoscopic approach is preferred […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4386","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=4386"}],"version-history":[{"count":2,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4386\/revisions"}],"predecessor-version":[{"id":5093,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4386\/revisions\/5093"}],"up":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4370"}],"wp:attachment":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}